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Title 8: Medicaid Page 22 Iowa Department of Health and Human Services Employees’ Manual Chapter F: Coverage Groups Breast and Cervical Cancer Treatment Revised February 28, 2025 Eligibility Period

1. Ms. E begins receiving Medicaid under BCCT in March. The provider treating her provides a statement saying that treatment will continue into July. The worker sets a reminder for the first working day in July. Early in July, the worker sends a release to Ms. E, asking her to sign and return it. Ms. E complies, and the provider reports that Ms. E’s treatment ended in June. Since Ms. E is no longer eligible under the BCCT coverage group, the worker completes an automatic redetermination. Medicaid for the month of July is not subject to recoupment, since the worker acted on the best information available. 2. Mrs. D begins receiving Medicaid under the BCCT coverage group in March. In April, the provider treating her provides a statement saying that treatment will continue into July. The worker sets a reminder for the first working day in July. Early in July, the worker sends a release to Mrs. D asking her to sign and return it. Mrs. D complies, and the provider now states that Mrs. D’s treatment did end in July. Since Mrs. D will no longer be eligible under the BCCT coverage group, the worker completes an automatic redetermination. 3. Mrs. F begins receiving Medicaid under the BCCT coverage group in August. The provider treating Mrs. F provides a statement, in September, saying treatment will continue into the month of February. The worker sets a reminder for the first working day in February. Early in February, the worker sends a release to Mrs. F that she signs and returns. The provider now states that Mrs. F’s treatment will continue into the month of April. The worker sets a reminder for the first working day in April. Responsibilities of the Client An individual eligible for Medicaid under the BCCT is required to report only when:  Creditable health insurance coverage begins, or  Their living or mailing address changes. The individual is asked but not required to report when their treatment ends. Accept the medical professional’s statement as to when treatment will end. Act on the individual’s report of when treatment has ended. For more information, see Length of Treatment.